ASSESSMENT OF HEPATITIS B VACCINATION STATUS IN DOCTORS OF SERVICES HOSPITAL, LAHORE

Rabia Arshed Usmani, Maaz Suhail Rana, Muhammad Saleem Wazir, Huda Sarwer, Huda Fazli, Muhammad Ali Pervaiz, Irum Tahir, Rabbiya Sajjad

Abstract


Background: Hepatitis B is the most common serious infection of the liver and can lead to premature
death from liver cancer or liver failure. Of the two billion people who have been infected with Hepatitis
B virus, more than 350 million have chronic infection. The objectives of this study were to assess the
Hepatitis B vaccination status, reasons for non-compliance and the risk of exposure to doctors at a
tertiary care hospital. Methods: Three hundred and twenty-two doctors were selected from the various
departments of the hospital by simple random sampling. They were given a self-administered
questionnaire after taking verbal consent. Some doctors refused to fill-in the questionnaire while some
others were on leave during the time of study and the remaining 215 doctors responded to the
questionnaire. Results: A total of 215 doctors, (age range 22–59 years) responded to the questionnaire.
Amongst them 11.6% had not received even a single dose of Hepatitis B vaccine while 14.4% had not
completed the required course of vaccination. Most common reason cited by doctors for nonimmunisation was that they had not thought about it. Consultants were more likely of the other doctors
to have received completed vaccination (83.9% versus 69.9%) (p<0.05). They were also significantly
more likely to know their antibody titre after completing vaccination. Needle stick injuries were
common. One hundred and forty-five doctors in the study admitted having received at least one needle
prick/sharp injury. Of them, 51.6% had received a needle prick/sharp injury more than once.
Conclusion: Despite the availability of an effective vaccine in the market doctors continue to remain
non-vaccinated. It is the lack of awareness and carelessness on part of doctors coupled with the
negligence of the risk that has led them being incompletely vaccinated. There is a need to ensure that
every doctor is completely vaccinated against Hepatitis B before he/she enters professional practice.
Keywords: vaccination, Hepatitis B, medical staff, professional hazard, needle prick injury

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References


Asian Liver Centre at Stanford University. Available from:

http://liver.stanford.edu

www.who.int/mediacentre/factsheets/fs204/en

Kane M. The epidemiology and control of hepatitis B as an

occupational hazard in the health professions. In: Kane M,

Holleran C, Andre F, eds. Proceedings of the European

Conference on Hepatitis B as an occupational hazard.

London: Gower Medical Publishing; 1991.p.10–5.

Guidelines for protecting the safety and health of HCWs.

Joint advisory notice. Department of Labor, Department of

Health and Human Services Protection Against Occupational

Exposure to hepatitis B virus and HIV. Oct 19, 1997.

J Ayub Med Coll Abbottabad 2010;22(2)

http://www.ayubmed.edu.pk/JAMC/PAST/22-2/Rabia.pdf 39

Ali NS, Jamal K, Qureshi R. Hepatitis B vaccination status

and identification of risk factors for Hepatitis B in HCWs. J

Coll Physicians Surg Pak 2005;15:257–60.

Younus BB, Khan GM, Akhtar P, Chudhary MA.

Vaccination against Hepatitis B among doctors at a teaching

hospital in Lahore. Pak J Med Sci 2001;17(4):229–32.

Burden AD, Whorwell PJ. Poor uptake of Hepatitis B

immunization amongst hospital-based health care staff.

Postgrad Med J 1997;67:256–8.

Smith NAL. Management of hepatitis B immunizations and

blood exposure incidents in primary care. Occup Med

;54(4):231–7.

Smith ER, Banatvala JE, Tilzey AJ. Hepatitis B vaccine

uptake among surgeons at a London teaching hospital: how

well are we doing? Ann R Coll Surg Engl 1996;78:447–9.

Hamid S, Ismail FW, Jafri W. Hepatitis and the health care

worker —A Pakistani Perspective. J Col Physicians Surg Pak

;17(4):240–5.

Alzahrani AJ Vallely PJ, Klapper PE. Needle stick injuries

and hepatitis B virus vaccination in HCWs. Commun Dis

Public Health 2000 Sep;3(3):217–8.

Braka F, Nanyunja M, Makumbi I, Mbabazi W, Kasasa S,

Lewis RF. Hepatitis B infection among HCWs in Uganda:

evidence of the need for health worker protection. Vaccine

;24(47–48):6930–7.

Talaat M, Kandeel A, El-Shoubary W, Bodenschatz

C, Khairy I, Oun S, et al. Occupational exposure to needle

stick injuries and hepatitis B vaccination coverage among

HCWs in Egypt. Am J Hosp Control 2003;31:469–74.

Suckling RM. Taegtmeyer M, Nguku PM, Al-Abri

SS, Kibaru J, Chakaya JM, et al. Susceptibility of HCWs in

Kenya to hepatitis B: new strategies for facilitating

vaccination uptake. J Hosp Infect 2006;64:271–7.


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